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Finger dexterity tests

Philippe Dahdal, Antonia Meyer, Chaturvedi Menorca, Karolina Nowak, Anne D Roesch, Peter Fuhr, Ute Gschwandtner
AIMS: The objective of this study was to investigate the relation between impaired fine motor skills in Parkinson disease (PD) patients and their cognitive status, and to determine whether fine motor skills are more impaired in PD patients with mild cognitive impairment (MCI) than in non-MCI patients. METHODS: Twenty PD MCI and 31 PD non-MCI patients (mean age 66.7 years, range 50-84, 36 males/15 females), all right-handed, took part in a motor performance test battery...
September 20, 2016: Dementia and Geriatric Cognitive Disorders
Hiroyuki Hayashi, Daiki Nakashima, Hiroka Matsuoka, Midori Iwai, Shugo Nakamura, Ayumi Kubo, Naoki Tomiyama
Exercise, such as cardiovascular fitness training, has been shown to have utility in improving executive function but is difficult for older adults with low mobility to perform. Accordingly, there is interest in the development of regimens other than high mobility exercises for older adults with low mobility. The aim of the present study was to evaluate the association between sensory motor function of the upper limb and executive function in community-dwelling older adults. A cross-sectional study was conducted in 57 right-handed, independent, community-dwelling older adults...
August 2016: Nagoya Journal of Medical Science
Nora E Fritz, Deborah A Kegelmeyer, Anne D Kloos, Shannon Linder, Ariane Park, Maria Kataki, Anahita Adeli, Punit Agrawal, Douglas W Scharre, Sandra K Kostyk
INTRODUCTION: Differential diagnosis of dementia with Lewy bodies (DLB), Parkinson's disease with dementia (PDD), Parkinson's disease (PD) and Alzheimer's disease (AD) is challenging. Comparative motor profiles of these neurodegenerative disorders may aid in earlier diagnosis but have not been extensively studied. METHODS: Groups were rigorously matched by age, education, and sex. DLB/PDD participants were matched by Mini-Mental State Examination Score to individuals with AD and by Unified Parkinson's Disease Rating Scale motor scores to individuals with PD...
August 11, 2016: Gait & Posture
Araceli Ortiz-Rubio, Irene Cabrera-Martos, Janet Rodríguez-Torres, Waldo Fajardo-Contreras, Ana Díaz-Pelegrina, Marie Carmen Valenza
OBJECTIVE: To evaluate the effects of home-based upper limb training program on arm function in patients with Multiple Sclerosis (MS). Additionally, the effects of this program on manual dexterity, handgrip stregth and finger prehension force were analyzed. DESIGN: Randomized, single-blinded controlled trial. SETTING: Home-based. PARTICIPANTS: Thirty-seven patients with a clinical diagnosis of MS acknowledging impaired manual ability were randomized into two groups...
June 22, 2016: Archives of Physical Medicine and Rehabilitation
Lisa Rådman, Lars-Gunnar Gunnarsson, Ylva Nilsagård, Tohr Nilsson
PURPOSE: Symptoms described in previous studies indicate that electrical injury can cause longstanding injuries to the neurosensory nerves. The aim of the present case series was to objectively assess the profile of neurosensory dysfunction in electricians in relation to high voltage or low voltage electrical injury and the "no-let-go phenomenon". METHODS: Twenty-three Swedish male electricians exposed to electrical injury were studied by using a battery of clinical instruments, including quantitative sensory testing (QST)...
June 14, 2016: Burns: Journal of the International Society for Burn Injuries
Vincent C H Chung, Robin S T Ho, Siya Liu, Marc K C Chong, Albert W N Leung, Benjamin H K Yip, Sian M Griffiths, Benny C Y Zee, Justin C Y Wu, Regina W S Sit, Alexander Y L Lau, Samuel Y S Wong
BACKGROUND: The effectiveness of acupuncture for managing carpal tunnel syndrome is uncertain, particularly in patients already receiving conventional treatments (e.g., splinting). We aimed to assess the effects of electroacupuncture combined with splinting. METHODS: We conducted a randomized parallel-group assessor-blinded 2-arm trial on patients with clinically diagnosed primary carpal tunnel syndrome. The treatment group was offered 13 sessions of electroacupuncture over 17 weeks...
September 6, 2016: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Evžen Růžička, Radim Krupička, Kateřina Zárubová, Jan Rusz, Robert Jech, Zoltán Szabó
INTRODUCTION: Timed performance tests were introduced to overcome the disadvantages of subjective evaluation of bradykinesia in Parkinson's disease (PD). We aimed to verify their discriminative properties and compare them with the motion capture analysis of finger tapping. METHODS: We included 22 PD patients (10 M, 12 F), mean age 64 (range 48-82) yrs, Hoehn & Yahr stage 2 (1-2.5) and 22 (10 M, 12 F) normal controls, mean age 66 (41-82) yrs. The key tapping subtest of the Halstead-Reitan battery, the Purdue Pegboard test, and the Bradykinesia-Akinesia Incoordination (BRAIN) test were performed according to the test manuals...
July 2016: Parkinsonism & related Disorders
Victor Gonzalez, Jennifer Rowson, Alaster Yoxall
STUDY DESIGN: Bench and cross-sectional study. INTRODUCTION: Information obtained from dexterity tests is an important component of a comprehensive examination of the hand. PURPOSE OF THE STUDY: To analyze and compare finger interdependencies during the performance of the Purdue Pegboard Test (PBT) and comparative daily tasks. METHODS: A method based on the optoelectronic kinematic analysis of the precision grip style and on the calculation of cross-correlation coefficients between relevant joint angles, which provided measures of the degree of finger coordination, was conducted on 10 healthy participants performing the PBT and 2 comparative daily living tasks...
May 13, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Carolina Colomer, Roberto Llorens, Enrique Noé, Mariano Alcañiz
BACKGROUND: Virtual and mixed reality systems have been suggested to promote motor recovery after stroke. Basing on the existing evidence on motor learning, we have developed a portable and low-cost mixed reality tabletop system that transforms a conventional table in a virtual environment for upper limb rehabilitation. The system allows intensive and customized training of a wide range of arm, hand, and finger movements and enables interaction with tangible objects, while providing audiovisual feedback of the participants' performance in gamified tasks...
2016: Journal of Neuroengineering and Rehabilitation
Leire Santisteban, Maxime Térémetz, Jean-Pierre Bleton, Jean-Claude Baron, Marc A Maier, Påvel G Lindberg
BACKGROUND: Establishing which upper limb outcome measures are most commonly used in stroke studies may help in improving consensus among scientists and clinicians. OBJECTIVE: In this study we aimed to identify the most commonly used upper limb outcome measures in intervention studies after stroke and to describe domains covered according to ICF, how measures are combined, and how their use varies geographically and over time. METHODS: Pubmed, CinHAL, and PeDRO databases were searched for upper limb intervention studies in stroke according to PRISMA guidelines and477 studies were included...
2016: PloS One
Christian Nissler, Nikoleta Mouriki, Claudio Castellini
One of the crucial problems found in the scientific community of assistive/rehabilitation robotics nowadays is that of automatically detecting what a disabled subject (for instance, a hand amputee) wants to do, exactly when she wants to do it, and strictly for the time she wants to do it. This problem, commonly called "intent detection," has traditionally been tackled using surface electromyography, a technique which suffers from a number of drawbacks, including the changes in the signal induced by sweat and muscle fatigue...
2016: Frontiers in Neurorobotics
T Foki, T Vanbellingen, C Lungu, W Pirker, S Bohlhalter, T Nyffeler, J Kraemmer, D Haubenberger, F Ph S Fischmeister, E Auff, M Hallett, R Beisteiner
BACKGROUND AND PURPOSE: Impaired dexterity (fine hand movements) is often present in Parkinson's disease (PD), even at early to moderate disease stages. It has a detrimental impact on activities of daily living (ADL) such as buttoning, contributing to reduced quality of life. Limb-kinetic apraxia, a loss of the ability to make precise, independent but coordinated finger and hand movements, may contribute to impaired dexterity even more than bradykinesia per se. However, the impact of limb-kinetic apraxia on ADL remains controversial...
August 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
Awad M Almuklass, Ryan C Price, Jeffrey R Gould, Roger M Enoka
The purpose of the study was to evaluate the capacity of an expanded set of force steadiness tasks to explain the variance in the time it takes young men and women to complete the grooved pegboard test. In a single experimental session, 30 participants (mean ± SD) (24.2 ± 4.0 yr; 15 women) performed the grooved pegboard test, two tests of hand speed, measurements of muscle strength, and a set of submaximal, steady contractions. The steadiness tasks involved single and double actions requiring isometric contractions in the directions of wrist extension, a pinch between the index finger and thumb, and index finger abduction...
June 15, 2016: Journal of Applied Physiology
Fabio Vanoglio, Palmira Bernocchi, Chiara Mulè, Francesca Garofali, Chiara Mora, Giovanni Taveggia, Simonetta Scalvini, Alberto Luisa
OBJECTIVE: The purpose of the study was to evaluate the feasibility and efficacy of robot-assisted hand rehabilitation in improving arm function abilities in sub-acute hemiplegic patients. DESIGN: Randomized controlled pilot study. SETTING: Inpatient rehabilitation centers. PARTICIPANTS: Thirty hemiplegic stroke patients (Ashworth spasticity index <3) were recruited and randomly divided into a Treatment group (TG) and Control group (CG)...
April 7, 2016: Clinical Rehabilitation
Engin Cakar, Gulseren Akyuz, Oguz Durmus, Levent Bayman, Ilker Yagci, Evrim Karadag-Saygi, Osman Hakan Gunduz
The standardization of patient evaluation and monitoring methods has a special importance in evaluating the effectiveness of therapeutic methods using drugs or rehabilitative techniques in stroke rehabilitation. The aim of this study was to investigate the relationships between clinical instruments and transcranial magnetic stimulation (TMS)-evoked neurophysiological parameters in stroke patients. This study included 22 chronic post-stroke patients who were clinically assessed using the Motricity Index (MI), finger-tapping test (FTT), Motor Activity Log (MAL) 28, Brunnstrom motor staging and Ashworth Scale (ASH)...
April 1, 2016: Acta Neurologica Belgica
Roberto Gatti, Maria A Rocca, Silvia Fumagalli, Erik Cattrysse, Eric Kerckhofs, Andrea Falini, Massimo Filippi
Action observation and execution activate regions that are part of the motor and mirror neuron systems (MNS). Using functional magnetic resonance (fMRI), we defined the presence and extent of MNS activation during three different motor tasks with the dominant, right-upper limb in healthy individuals. The influence of the modality of task administration (execution, observation, observation and execution) was also investigated. fMRI scans during the execution (E) of a motor task, the observation (O) of a video showing the same task performed by another person and the simultaneous observation and execution (OE) of the task were obtained from three groups of healthy subjects (15 subjects per group) randomized to perform: a simple motor (SM) task, a complex motor (CM) task and a finalistic motor (FM) task...
March 24, 2016: Brain Imaging and Behavior
Danit Langer, Adina Maeir, Michael Michailevich, Yael Applebaum, Shai Luria
PURPOSE: To evaluate the impact of trigger finger (TF) on hand motor function, activity and participation (A&P) and quality of life (QOL), and to evaluate the association between personal factors (age and gender, disease severity) and body functions (dexterity and strength) with A&P and QOL in patients with TF. METHODS: Sixty-six patients with TF (study group) and 66 healthy volunteers (control group) participated in the study. TF symptoms were graded using the Quinnell classification...
December 2016: Disability and Rehabilitation
Mayo Tsuchiya, Akio Morita, Yukihiro Hara
BACKGROUND: Many previous studies have demonstrated that botulinum toxin A (BTX-A) injections satisfactorily reduce spasticity. Nevertheless, BTX-A, with or without an adjuvant therapy, effectively improves the direct functional movement in few patients with spastic upper extremity paralysis. Therefore the present study aimed to determine the effectiveness of task-orientated therapy on spasticity and functional movement by using electromyography-triggered functional electrical stimulation (EMG-FES) after BTX-A injections...
2016: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
Sun-Ho Kim, Ji-Hyuk Park, Min-Ye Jung, Eun-Young Yoo
The purpose of the present study was to investigate the effects of electromyogram-triggered neuromuscular stimulation (EMG-stim) combined with task-oriented training (TOT) on upper extremity function in chronic stroke patients. Twenty chronic stroke patients were randomly assigned to either the intervention (n = 10) or control (n = 10) group. The intervention group conducted TOT with EMG-stim on the wrist and finger extensor of the affected arm for 30 minutes per day, 5 days per week, for 4 weeks...
June 2016: Occupational Therapy International
Rachel Kizony, Gabi Zeilig, Israel Dudkiewicz, Tamara Schejter-Margalit, Debbie Rand
BACKGROUND AND PURPOSE: Touch screen tablet technology might be suitable for self-training of impaired dexterity poststroke. We compared performance of app-based hand activities in individuals without a disability from 3-age groups, and assessed the feasibility of using tablet apps in individuals with stroke. METHODS: Experiment I included 172 Individuals without a disability: 79 young adults (26.2 [3.9] years old), 61 middle-aged adults (55.9 [5.1] years old), and 32 older adults (68...
January 2016: Journal of Neurologic Physical Therapy: JNPT
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